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Chain of custody record, Westchester County Department of Labs &

Machine-extracted title · confidence 95%

Form documenting the chain of custody for samples submitted to or received from the Westchester County laboratory.

NYC-WTC_000074972–000074977

Folder label: “AE 05700

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Scanned page image, NYC-WTC_000074977
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NYC 9/11 Public Portal Document

ENVIRONMENTAL' SERVltE^-SAWI^iE ShOl^SION’toW^ ’ H <com WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2Dana Road,Veihalla, NBwY3rk 10595L (914) 231-1820- Fax (914) 231-1772 ; Y,Hme/Date Set; : / Form

Sdnipte Type (circle one): j^otable 31 Non Potable Treated Bottlers: A&llA. '^i^fWble ; 4.OfeiBr _ Chain cf Custody? -No . • :/Tinre?Dat6 Collected: 3- OZ _ Comments: n ’ Collected Bv: L < iAla <!|A«. r Agency Code: _ PWS „ Source ID: .TypeDescriptor, ■ Collected From: Bin to: i ; Lpcation's/lndivlduai's Name C .. Name/Company . Street___ _ \ .Street - J. CHy/St/Zip tyfer I kfX Hq ftjy iQ _ City/StZZIp____ Y 1 JdenflflcatlonofSd^ _ » _ Phone#: Fax#; I Collection Point pJACH, Bl? i iChecldfe , -- Y Aments I^^ERIOLOGICAL ANALYSIS Lab#:

ORGANIC POTABLE ANALYSIS ORGANlC NONPOTABLE/SOLID ANALYSIS -.HeterotrophicPlate Count __ Whalomethanes (524) I < is- Y^ ffierrKXfieiji^s & ail others) Purgeabi8 Halocarbons (624/8280) .11 ■1/ u^^latile Halocarbons (524) X Purgeable Aromatics (624/8260) X CoiifoiTn P//\ (Public supplies) MPN (priv well, raw, stp) ^/Volatile Aromatics (524) _ _ Aw^elh A AcarjrtohiWld 1(6^) 1; __ Fecal CoIiform (all samples) „ Total Trihalomethane Potential (510) X Organdchlorine Pesticides (608/8081) XMlcroscoplc _ Microextractables (504) X PCB's (/Vochlors) (608/8081) _ Pesticides/PCB screen (508) jY Herbltides (SM18/6630,8151) A . ’

__ PCB as Decachlorobiphenyl (SOBA) tnh^ Pesticides (SMie/6^) Ot^.-;X—_________ _ Herbicides (515) __ Petroleum Hydrocarbon Scan (310-13) S _ Pesticides (525) _ 6lycoi$l{iWater g no _ Carbamate Pesficides (531) _ Add Extractables (625/8270) ■ J OIMnated:?,----- yes no „ Glyphosate (547) __Base Neutral ^ractable8{625/8270) Y Fr^'Chlorine Res:___ _ Diquat (549) iZ*GC/IVIS Unknown Scan _mg/L __ Chlorination Disinfection Byproducts (551) Phthalates (606MS) : - TotalChlorlne Res: _mg/L _Haioacetic Acids (552) pH r __ Other Pesticides (SMI8/6630) & _UCMRLi8t1 IRJMOIOCWENHCAL ANALYSIS _MtBE Only (524) —Radon I T & •• •• . ■

inorganic analysis requested - Lab#: HI ""' ' A;

__ Acidity 4i!Wuminum _^otasslum I— —. Turbidity i PR., - Alkalinity _ Bromide _iZwtimony /^tenlum,

;X. Y Brorndte/Chiorate/Chlorite .^Zgprium _^dlum / ,CorToslvlty(temp: ....... —___°C) ■“ _ Chloride .^ZBerylllum snhalllum .BOD (5 day) _ Cyanide _^^drnlum __^nadium . Carbonaceous BOD (5 day) _:.Fiuot1de ; Soluble BOp (5 day) __ Hardness, Total as CaCOs __ Calcium, as CaCOs . Chemical Oxygen Demand R-i _ Dlssolved Oxygen toted Organic Carbon Total Organic Halides _ Nitrog^, Ammonia as N _ . Nitrogen, Nitrate as N _ Nitrogen, Nitrite as N \_^tfdum,Ca« jkXJnrpmium, Total _ Chromium. Hexavalent '< -_Metels/CN XVbltoesfll X Semi-violatiles _ Nitrogen, Total Kjeldahl as N F- _ Solids, Percent (%) __ Oil and Grease .M^OppM- __Pestlcides/PCB’s Solids, Settleable _ Phenol fe -..Solids, Suspended R- _Solids, Total _ Phosphorus Total as P __ Phosphorus, Ortho as P ^/lead _ .Magnesium tCLP XTCLP-Metals fe _ Solids, Total Dissolved i? W; , Total Volatile _ Sulfates __ Surfactants .^^anganese ✓^ercury XTCLP-Pesticldes __TCLP-Herbic!des 1 _ UV254 ; 1 Siw NYC-WTC_000074977

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NYC-WTC_000074977Source: NYC Law Department, mirrored locally

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NYC-WTC_000074851 · Box DEP Box 62

Chain of custody documentation for environmental samples transferred to the Westchester County Department of Labs and Research in Valhalla.

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